Southwest journal of pulmonary & critical care最新文献_第3页

Repeat Episodes of Massive Hemoptysis Due to an Anomalous Origin of the Right Bronchial Artery in a Patient with a History of Coccidioidomycosis 球虫病患者右支气管动脉异常起源引起的大咯血反复发作

Southwest journal of pulmonary & critical care Pub Date : 2021-09-01 DOI: 10.13175/swjpcc037-21

B. Asllanaj, E. Benge, Yi McWhworter, S. Bhatia

引用次数: 0

CDC Warns of Increased Ivermectin Overdoses 美国疾病控制与预防中心警告伊维菌素过量使用增加

Southwest journal of pulmonary & critical care Pub Date : 2021-08-27 DOI: 10.13175/swjpcc038-21

R. Robbins, Phoenix Pulmonary

引用次数: 0

A Case Series of Electronic or Vaping Induced Lung Injury 电子烟或电子烟致肺损伤病例系列

Southwest journal of pulmonary & critical care Pub Date : 2021-08-18 DOI: 10.13175/swjpcc032-21

R. Espinosa, Abdirahman Hussein, M. Sehring, M. Rachid, R. Dunn, D. Taneja

{"title":"A Case Series of Electronic or Vaping Induced Lung Injury","authors":"R. Espinosa, Abdirahman Hussein, M. Sehring, M. Rachid, R. Dunn, D. Taneja","doi":"10.13175/swjpcc032-21","DOIUrl":"https://doi.org/10.13175/swjpcc032-21","url":null,"abstract":"Introduction: Since their introduction, electronic cigarette use has increased and was even proposed as an alternative to traditional tobacco use. Recently, a series of patients with acute respiratory failure due electronic cigarette, or vaping, associated lung injury (EVALI) in 2019 has been described which has largely been attributed to tetrahydrocannabinol (THC) containing vaporizer itself, as well as vitamin E acetate. Several case series have been published regarding the acute presentation, diagnosis and management. In addition to diagnosis and management of EVALI, we sought to describe potential long-term effects of lung parenchyma in these patients. Methods: A retrospective review was performed on 16 patients with clinically diagnosed EVALI at OSF St Francis Medical Center between August 01 2019 and February 1 2020. Relevant demographic and clinical data were collected in patients diagnosed with EVALI. Results: Of the 16 patients in the study the median age (IQR) age was 25.25 (20-29) and 94% were male. The predominant presenting symptoms were dyspnea (94%), cough (56%), nausea 63%), vomiting (63%), abdominal pain (50%), diarrhea (50%), and fever (63%). 2 (13%) patients required endotracheal intubation. Common features of computerized tomography (CT) scan were bilateral diffuse ground glass opacity (93%), septal thickening (53%), and subpleural sparing (47%). Bronchoalveolar lavage (BAL) was obtained in 3 patients and all demonstrated neutrophil predominance of 69% (56-90). One BAL was significant for hemosiderin laden macrophages. Post hospital follow up pulmonary function tests were obtained in 3 and 2 of these were significant for obstructive lung disease. Conclusions: In this case series of patients diagnosed with vaping associated lung injury, obstructive lung disease may be seen on pulmonary function testing and surveillance of these patients should occur regardless of duration.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47438008","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of In Situ Education on Management of Cardiac Arrest after Cardiac Surgery 现场教育对心脏手术后心脏骤停管理的影响

Southwest journal of pulmonary & critical care Pub Date : 2021-08-16 DOI: 10.13175/swjpcc028-21

B. Gali, G. Arteaga, Glen Au, V. Herasevich

{"title":"Impact of In Situ Education on Management of Cardiac Arrest after Cardiac Surgery","authors":"B. Gali, G. Arteaga, Glen Au, V. Herasevich","doi":"10.13175/swjpcc028-21","DOIUrl":"https://doi.org/10.13175/swjpcc028-21","url":null,"abstract":"Background: Advanced life support interventions have been modified for patients who have recently undergone sternotomy for cardiac surgery and have new suture lines. We aimed to determine whether the use of in-situ simulation increased adherence to the cardiac surgery unit-advanced life support algorithm (CSU-ALS) for patients with cardiac arrest after cardiac surgery (CAACS). Methods: This was a retrospective chart review of cardiac arrest management of patients who sustained CAACS before and after implementation of in-situ simulation scenarios utilizing CSU-ACLS in place of traditional advanced cardiac life support. We utilized classroom education of CSU-ACLS followed by in-situ high-fidelity simulated scenarios of patients with CAACS.. Interprofessional learners (n = 210) participated in 18 in-situ simulations of CAACS. Two groups of patients with CAACS were retrospectively compared before and after in situ training (preimplementation, n=22 vs postimplementation, n=38). Outcomes included adherence to CSU-ALS for resuscitation, delay in initiation of chest compressions, use of defibrillation and pacing before external cardiac massage, and time to initial medication. Results: Chest compressions were used less often in the postimplementation vs the preimplementation period (11/22 [29%] vs 13/38 [59%], P = 0.02). Time to initial medication administration, use of defibrillation and pacing, return to the operating room, and survival were similar between periods. Conclusion: In this pilot, adherence to a key component of the CSU-ALS algorithm—delaying initiation of chest compressions—improved","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47390415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Arizona Thoracic Society Supports Mandatory Vaccination of Healthcare Workers 亚利桑那州胸科学会支持医护人员强制接种疫苗

Southwest journal of pulmonary & critical care Pub Date : 2021-08-05 DOI: 10.13175/swjpcc033-21

R. Robbins

引用次数: 0

Month: Unilateral Peripheral Lung Opacity » Medical Image of the Month: Bleomycin-Induced Pulmonary Fibrosis in a Patient with Lymphoma 本月医学影像:博莱霉素诱导的淋巴瘤患者肺纤维化

Southwest journal of pulmonary & critical care Pub Date : 2021-08-02 DOI: 10.13175/swjpcc024-21

M. Dufwenberg

引用次数: 1

Impact of Recent Job Loss on Sleep, Energy Consumption and Diet. 近期失业对睡眠、能量消耗和饮食的影响。

Southwest journal of pulmonary & critical care Pub Date : 2021-08-01 Epub Date: 2021-11-16 DOI: 10.13175/swjpcc045-21

Salma Batool-Anwar, Candace Mayer, Patricia L Haynes, Yilin Liu, Cynthia A Thomson, Stuart F Quan

{"title":"Impact of Recent Job Loss on Sleep, Energy Consumption and Diet.","authors":"Salma Batool-Anwar, Candace Mayer, Patricia L Haynes, Yilin Liu, Cynthia A Thomson, Stuart F Quan","doi":"10.13175/swjpcc045-21","DOIUrl":"https://doi.org/10.13175/swjpcc045-21","url":null,"abstract":"To examine how sleep quality and sleep duration affect caloric intake among those experiencing involuntary job loss.Methods: Adequate sleep and self reported dietary recall data from the Assessing Daily Activity Patterns through Occupational Transitions (ADAPT) study was analysed. Primary sleep indices used were total sleep time, time spent in bed after final awakening, and sleep quality as measured by the Daily Sleep Diary (DSD). Mean Energy consumption (MEC) was the primary nutritional index. Secondary indices included diet quality using the Health Eating Index 2015 (HEI), and self-reported intake of protein, carbohydrates and fats.Results: The study participants were comprised mainly of women (61%) and non-Hispanic white. The participants had at least 2 years of college education and mean body mass index of 30.2±8.08 (kg/m 2). The average time in bed was 541.8 (9.0 hrs) ±77.55 minutes and total sleep time was 461.1 (7.6 hrs) ±56.49 minutes. Mean sleep efficiency was 91±6%, self-reported sleep quality was 2.40±0.57 (0-4 scale, 4 = very good), and minutes earlier than planned morning awakening were 14.36±24.15. Mean HEI score was 47.41±10.92. Although the MEC was below national average for both men and women, male sex was associated with higher MEC. In a fully adjusted model sleep quality was positively associated with MEC.Conclusion: Daily overall assessments of sleep quality among recently unemployed persons were positively associated with mean energy consumption. Additionally, the diet quality of unemployed persons was found to be unhealthier than the average American and consistent with the relationship between poor socioeconomic status and lower diet quality.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"23 5","pages":"129-137"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8656248/pdf/nihms-1759151.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39721009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

August 2021 Imaging Case of the Month: Unilateral Peripheral Lung Opacity 本月影像病例:单侧周围性肺不透明

Southwest journal of pulmonary & critical care Pub Date : 2021-08-01 DOI: 10.13175/swjpcc031-21

M. Gotway

引用次数: 0

Impact of Recent Job Loss on Sleep, Energy Consumption and Diet 近期失业对睡眠、能量消耗和饮食的影响

Southwest journal of pulmonary & critical care Pub Date : 2021-08-01 DOI: 10.1101/2021.10.11.21264815

S. Batool-Anwar, C. Mayer, P. Haynes, Y. Liu, C. Thomson, S. Quan

{"title":"Impact of Recent Job Loss on Sleep, Energy Consumption and Diet","authors":"S. Batool-Anwar, C. Mayer, P. Haynes, Y. Liu, C. Thomson, S. Quan","doi":"10.1101/2021.10.11.21264815","DOIUrl":"https://doi.org/10.1101/2021.10.11.21264815","url":null,"abstract":"To examine how sleep quality and sleep duration affect caloric intake among those experiencing involuntary job loss. Methods; Adequate sleep and self reported dietary recall data from the Assessing Daily Activity Patterns through Occupational Transitions (ADAPT) study was analyzed. Primary sleep indices used were total sleep time, time spent in bed after final awakening, and sleep quality as measured by the Daily Sleep Diary (DSD). Mean Energy consumption (MEC) was the primary nutritional index. Secondary indices included diet quality using the Health Eating Index 2015 (HEI), and self-reported intake of protein, carbohydrates and fats. Results The study participants were comprised mainly of women (61%) and non-Hispanic white. The participants had at least 2 years of college education and mean body mass index of 30.2 {+/-} 8.08 (kg/m 2 ). The average time in bed was 541.8 {+/-} 77.55 minutes and total sleep time was 461.1 {+/-}56.49 minutes. Mean sleep efficiency was 91 {+/-} 6%, self-reported sleep quality was 2.40 {+/-}0.57 (0-4 scale, 4 = very good), and minutes earlier than planned morning awakening were 14.36 {+/-}24.15. Mean HEI score was 47.41 {+/-} 10.92. Although the MEC was below national average for both men and women, male sex was associated with higher MEC. In a fully adjusted model sleep quality was positively associated with MEC. Conclusion Daily overall assessments of sleep quality among recently unemployed persons were positively associated with mean energy consumption. Additionally, the diet quality of unemployed persons was found to unhealthier than the average American and consistent with the relationship between poor socioeconomic status and lower diet quality.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":"59 1 1","pages":"129-137"},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75800654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Case and Brief Review of Bilious Ascites and Abdominal Compartment Syndrome from Pancreatitis-Induced Post-Roux-En-Y Gastric Remnant Leak 鲁氏-恩氏术后残胃漏致胰腺炎并发胆汁性腹水和腹腔隔室综合征1例

Southwest journal of pulmonary & critical care Pub Date : 2021-07-11 DOI: 10.13175/swjpcc018-21

Marissa Martin, Michael Lee, A. Neumeier, T. Huie

{"title":"A Case and Brief Review of Bilious Ascites and Abdominal Compartment Syndrome from Pancreatitis-Induced Post-Roux-En-Y Gastric Remnant Leak","authors":"Marissa Martin, Michael Lee, A. Neumeier, T. Huie","doi":"10.13175/swjpcc018-21","DOIUrl":"https://doi.org/10.13175/swjpcc018-21","url":null,"abstract":"This is a case of a 55-year-old man with Roux-en-Y gastric bypass surgery 15 years prior who presented with acute pancreatitis and developed distributive shock, bacteremia, acute respiratory distress syndrome, anuric acute renal failure, and a distended abdomen with increasing ascitic fluid on imaging. An elevated bladder pressure, lactic acidosis, and anuria raised concern for abdominal compartment syndrome. Paracentesis was done and four liters of bilious ascitic fluid were drained. Intra-abdominal pressure was measured and improved from 27 cmH2O to 13 cmH2O with paracentesis. Mean arterial pressure and urine output also improved. The patient developed recurrent loculated intra-abdominal fluid collections, though ultrasound, CT scans with and without contrast, MRCP, ERCP, upper GI fluoroscopy, and small bowel enteroscopy failed to reveal a source of the bilious output. Ultimately, a gastrostomy tube was placed and delivery of contrast material through the tube revealed active extravasation from the remnant stomach. This case underscores the importance of considering post-surgical leak regardless of how remotely a Roux-en-Y surgery took place, confirms the importance of pursuing early gastrostomy tube placement and contrast administration when post-Roux-en-Y gastric remnant leaks are suspected, and demonstrates the role of paracentesis in critically ill patients with abdominal compartment syndrome.","PeriodicalId":87365,"journal":{"name":"Southwest journal of pulmonary & critical care","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44382264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0